Permit CITY OF TIGARD BUILDING PERMIT
s. COMMUNITY DEVELOPMENT BUILDING
BUP2021-00012
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 4/29/2021
Parcel: 2S110DB90982
Jurisdiction: Tigard
Site address: 15435 SW 114TH CT 98
Project: The Fountains at Summerfield Condominiums Subdivision:FAINS AT SUMMERFIELD CONDO-PHI Lot: 98
Project Description: Repairing deck joist dry rot,replacing perimeter joists,and replacing guardrail
Contractor: JON EDWARD ERICKSON Owner: COOK, PAIGE JANES REVOCABLE TRUST
15280 SW 94TH AVE 15435 SW 114TH CT UNIT 98
TIGARD, OR 97224 TIGARD,OR 97224
PHONE: 503-730-9220 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM •
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/22/2021 S134.54
Demolition
Occupancy Grp: U Occupancy Load: 0 12%State Surcharge-Building 04/22/2021 $16.14
Dwelling Units: 0 Plan Review 04/22/2021 $87.45
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 04/22/2021 $53.82
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 04/22/2021 $2.50
Value: $3,448 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
•
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $294.45
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: fir/ Vati./De II Permittee Signature: 0vvAppLGcattan
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVED
Commercial FOR OFFI(L I USE O'L),
City of Tigard APR 3 2020 Eqtemv Y 2? La/ / , .", f—�d AR
;� =• 13125 SW Hall Blvd.,Tigard,OR 97223 p� � - �^ olhcPermit.
Phase: 503.71&2439 Fax: 503.59&1960CITY OF TIGARD DoteBy.
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: /� hair, la See>'age2rer
Internet: www.tigard-or.gov NotifipolMnhort //�/ Supplemental Information
G-
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
.
❑New construction 0 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ®Other:repair equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑1-and 2-family dwelling ElCommercial/industrial Valuation: S
❑Accessory building ®Multi-family - Number of bedrooms
❑Master builder ❑Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15655 SW 114u Court New dwelling area square feet
City/Stale/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg.apt.no.:13 Project name:Deck Refurbishing Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees'are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Repair dry rot,re-coat solid decking,replace guardrail with 42"code compliant Valuation: S3448.00
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:The Fountains at Summerfreld Condominiums Type of construction: 59
Address:15371 SW 116°Ave.#110 Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:(858)212-9105 Fax:( ) New
Z APPLICANT IR CONTACT PERSON BUILDING PERMIT FEES`
Business name: (Please refer to fee sch..t.J-)
Contact name:Jon Erickson Structural plan review fee(or deposit):
Address:15280 SW 94th Ave- FLS plan review fee(if applicable)
City/State/ZIP:Tigard,OR 97224 Total fees due upon application:
Phone:(503)730-9220 Fax::( ) Amount received:
E-mail:jatevenjobsr'gmail.com PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Jon Erickson Submit two(2)sets of roof plan with connection details
Address:15280 SW 94m Ave and fire department access,along with the 2010 Oregon
Soto rInstallation Specialty Code checklist
City/State/ZIP:Tigard,OR 97224 Permit fee(includes plan review 5180.00
Phone:(503)730-9220 Fax:( ) and administrative fees):
State surcharge(12%of permit feel S21.60
CCB tic.:162397 `
Total fee due upon application: 5201.60
Authorized signature: This permit appl radon expires If a permit is not obtained
within 180 days after it has been accepted as complete.
LPrint name: Jon Eri Data 4/2/2020 • Fee methodology set by Tit-County Building Industry
Service Board.
I:1Building'Pennits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)